Provider Demographics
NPI:1497493498
Name:SUPERIOR SHUTTLE LLC
Entity Type:Organization
Organization Name:SUPERIOR SHUTTLE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-852-0550
Mailing Address - Street 1:PO BOX 34058
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78265-4058
Mailing Address - Country:US
Mailing Address - Phone:210-852-0550
Mailing Address - Fax:210-428-6270
Practice Address - Street 1:4655 WALZEM RD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78218-1610
Practice Address - Country:US
Practice Address - Phone:210-852-0550
Practice Address - Fax:210-428-6270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)